| NPI | 1063800563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FRANK NORTHWAY Owner 616-531-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 12024) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |